Dr Joseph E Bullock Jr, LCPC,LPC is a medicare enrolled "Counselor - Professional" provider in Newtown, Virginia. His current practice location is
11903 Newtown Rd, Newtown, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 615-2582.
Dr Joseph E Bullock Jr is licensed to practice in Maryland (license number LCO877) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679170724.
Healthcare Provider's Profile
| Full Name | Dr Joseph E Bullock Jr |
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| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 11903 Newtown Rd, Newtown, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679170724
- Provider Enumeration Date: 10/01/2020
- Last Update Date: 11/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991155475
- Enrollment ID: I20231225000100
Medical Identifiers
Medical identifiers for Dr Joseph E Bullock Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679170724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | PRC14807 (District Of Columbia) | Secondary |
| 101YP2500X | Counselor - Professional | LCO877 (Maryland) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Joseph E Bullock Jr allows following entities to bill medicare on his behalf.
| Entity Name | Thrive Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20200924001878 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Joseph E Bullock Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Joseph E Bullock Jr, LCPC,LPC
Po Box 863,
Severn, MD 21144-0863
Ph: (703) 615-2582 | Dr Joseph E Bullock Jr, LCPC,LPC
11903 Newtown Rd,
Newtown, VA 23126-2041
Ph: (703) 615-2582 |
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